Role of Endoscopy in the Treatment of Portal Hypertension Patients

Шерцингер, А. Г.; Жигалова, С. Б.; Семенова, Т. С.; Martirosyan, R. A.

doi:10.16931/1995-5464.2015220-30

Cited by 3 publications

(1 citation statement)

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“…Currently, endoscopic hemostasis is the method of choice in the treatment of patients with bleeding from esophageal varices (EV) (1,2). Endoscopic ligation of esophageal varices (EVL) with latex rings developed by G.V.…”

Section: Introductionmentioning

confidence: 99%

Complications of endoscopic ligation of varicose veins in patients with portal hypertension

Bebezov,

Abdykadyrov

2023

HVT

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The aim of the investigation is to analyze the results of endoscopic varicose vein ligation (EVL) in patients with portal hypertension; to estimate the character and frequency of early and late postoperative complications after EVL; to evaluate the possibility of endoscopic ligation at the moment of active bleeding. Methods: This work includes an analysis of 138 procedures for endoscopic ligation of the esophageal varices in 111 patients from 2016 to 2020. Intrahepatic form of portal hypertension was in 90 patients, extrahepatic form -in 21 patients. The total number of interventions performed was divided into 2 groups. In the first group of patients with EVL was performed urgently, and the second group includes patients, if necessary, with targeted prescription and secondary prevention of portal esophageal bleeding. Results: In 74 (53.6%) cases out of 138, different types of complications were detected. There were 2 lethal cases (1.4%). It should be noted that there were no lethal outcomes in second group after EVL, and after urgent operations, the mortality rate was 33.3%. The most critical complication of ligation was the resumption of hemorrhage due to the site of ligation in the early (1-3 days) and late periods after surgery (5-10 days). Conclusion:In this analysis of the studied cases of complications after EVL, the most common complication was pain syndrome and early and late bleeding were also identified. We showed that control esophagogastroscopies helped to identify bleeding recurrences; examination algorithms in case of detection of bleeding complication after EVL, and measures to prevent the development of recurrent hemorrhage were also necessary.

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Section: Introductionmentioning

confidence: 99%

Complications of endoscopic ligation of varicose veins in patients with portal hypertension

Bebezov,

Abdykadyrov

2023

HVT

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Endoscopic ligation as a first-line treatment of variceal bleeding

Mozharovsky¹,

Mutnykh²,

Zhukov³

et al. 2021

Endosk. khir.

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Clinical Practice Guidelines of the Russian Society for the Study of the Liver, the Russian Gastroenterological Association, the National Scientific Society of Infectious Disease Specialists for the Diagnosis and Treatment of Chronic Hepatitis C

Chulanov

Мамонова

et al. 2023

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Аim: diagnosis and treatment algorithms in the clinical recommendations intended for general practitioners, gastroenterologists, infectious disease specialists, hepatologists on the of chronic hepatitis C are presented.Summary. Chronic viral hepatitis C is a socially significant infection, the incidence of which in the Russian Federation remains significantly high. Over the past 10 years, great progress has been made in the treatment of hepatitis C — direct acting antiviral drugs have appeared. The spectrum of their effectiveness allows to achieve a sustained virological response in more than 90 % of cases, even in groups that were not previously considered even as candidates for therapy or were difficult to treat — patients receiving renal replacement therapy, after liver transplantation (or other organs), at the stage of decompensated liver cirrhosis, HIV co-infected, etc. Interferons are excluded from the recommendations due to their low effectiveness and a wide range of adverse events. The indications for the treatment have been expanded, namely, the fact of confirmation of viral replication. The terms of dispensary observation of patients without cirrhosis of the liver have been reduced (up to 12 weeks after the end of therapy). Also, these recommendations present approaches to active screening of hepatitis in risk groups, preventive and rehabilitation measures after the end of treatment.Conclusion. Great success has been achieved in the treatment of chronic hepatitis C. In most cases, eradication of viral HCV infection is a real task even in patients at the stage of cirrhosis of the liver, with impaired renal function, HIV co-infection, after solid organs transplantation.

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Role of Endoscopy in the Treatment of Portal Hypertension Patients

Cited by 3 publications

References 0 publications

Complications of endoscopic ligation of varicose veins in patients with portal hypertension

Complications of endoscopic ligation of varicose veins in patients with portal hypertension

Endoscopic ligation as a first-line treatment of variceal bleeding

Clinical Practice Guidelines of the Russian Society for the Study of the Liver, the Russian Gastroenterological Association, the National Scientific Society of Infectious Disease Specialists for the Diagnosis and Treatment of Chronic Hepatitis C

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